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The pregnancy care planner

Your NHS guide to having a baby

How to start your antenatal care


When you first learn that you're pregnant, it’s important to contact an NHS professional as soon as possible. This is so that you can start your antenatal care, and to make sure that you receive maternity healthcare that takes account of all your health needs and preferences. Find maternity units in your area

You can book an appointment with your GP or directly with your midwife as soon as you know that you're pregnant. Your GP surgery can put you in touch with your nearest midwifery service. If you have special health needs, your midwife, GP or other doctors may take shared responsibility for your maternity care.

Your first visit with your midwife or GP is the appointment when you tell him or her that you are pregnant. They will give you information on keeping healthy, and ask about any previous health or pregnancy issues, such as complications in a pregnancy.

Your next appointment should happen when you are eight to twelve weeks pregnant. This is called the booking appointment. This will last for up to two hours, and could take place either at a hospital or in the community. This means your first appointment may be in a clinic at a health centre, in a GP surgery or at home. Find out more about your first visit and booking appointment.

To give you the best pregnancy care, your midwife will ask you many questions about your health, your family's health, and your preferences. Your midwife will do some tests and scans, some of which will be done throughout your pregnancy. The results of these tests may affect your choices later in pregnancy, so it’s important not to miss them.

Your midwife will also ask about any other social care support you may have or need, for example, support from social workers or family liaison officers.

Last reviewed: 05/02/2011

Next review due: 05/02/2013

MayDayJoy said on 11 May 2011

Having found out on MayDay Monday that I was pregnant, my husband and I went to the doctor first thing the next morning.
Was given no info except a verbal list of a few foods I should avoid.
Was asked to choose a hospital there and then, but given no info about the 3 I could choose from.
Having had no faith in the service and no letter from the hospital yet, I called the hospital antenatal unit today, and surprise surprise no referral has been received.
I know its only been a week, but as a first time mum I am anxious to get all my appointments scheduled asap.
Off to my GP to complain tomorrow - not leaving without physically seeing the referral being done!
I think when you are told you're being referred it should be done that day, the last thing a pregnant woman needs to worry about is her doctor forgetting she is pregnant!

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MayDayJoy said on 11 May 2011

Having found out on MayDay Monday that I was pregnant, my husband and I went to the doctor first thing the next morning.
Was given no info except a verbal list of a few foods I should avoid.
Was asked to choose a hospital there and then, but given no info about the 3 I could choose from.
Having had no faith in the service and no letter from the hospital yet, I called the hospital antenatal unit today, and surprise surprise no referral has been received.
I know its only been a week, but as a first time mum I am anxious to get all my appointments scheduled asap.
Off to my GP to complain tomorrow - not leaving without physically seeing the referral being done!
I think when you are told you're being referred it should be done that day, the last thing a pregnant woman needs to worry about is her doctor forgetting she is pregnant!

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Euphy said on 26 April 2011

I feel sooo disappointed with the South West. My friend in Luton has nothing but praise for her midwife and is recieving excellent care. Postcode lottery obviously plays a huge part in the care you will recieve. I suffer from anxiety and depression, prone to panic attacts and have been trying for our first pregnancy for years. I am 31yrs.No idea how far into my pregnancy i am. Saw a G.P, and she told me "You may possibly be around 12-14wks but I am no expert!" There is a 3wk waiting list to be seen by a midwife. I am experiencing constant pain and am very worried but the surgery will not allow me to speak to or see a midwife even for 5 minutes - maybe i'll do without. I'm not going to keep begging for a service that I thought i'd been giving money from my wages all my adult life to pay for.Us British types are used to suffering in silence but when you really do need help, it is unavailable.No one cares.

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Sarah2011 said on 05 January 2011

I am now 33 weeks pregnant and have to say the help and care I have recieved has been great. As this will be my first child I am totally terrified of going into labour and every pain I feel am like OMG! But my midwife and nurses on the maternity ward have been fantastic! There always at hand even if its just for some advice over the phone and always give me the opportunity to go in and get checked over if I am still worried. So I have to say I've been quite lucky to find such a nice team of staff!

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rennadanielle said on 08 December 2010

Hi, I'm 31+3 weeks pregnant at the moment and I've had one bad experience with the NHS so far. This is my first pregnancy and at 23 weeks I was experiencing sharp pains in my upper right abdomen, plus the baby hadn't moved all day. I was suffering from this for the whole day while at work so on my way back from work at approx. 7pm I called my partner and we went to the hospital. We got there at approx. 8.30 and had to wait 3 hours before we saw a nurse who then said that we would be waiting another 3-4 hours before we could see a doctor. At about 3am we saw a doctor who said we had to see a in-house midwife in the antenatal ward. We eventually left the hospital at 5.30am with a prescription that I couldn't fill until the later that day. As there was no spotting, I was not high priority. I was outraged at the treatment available but apart from that, the NHS have been amazing as I have been given expert advice from my midwife and GP, also the Emergency Gyno Unit were the ones who looked after me when I first found out I was pregnant at 7+3 weeks. I also have a rare blood type and they have been amazing in giving me aid and information. I just want everyone to remember that a lot of mom's out there have no-one at all to go to for help so we should be thankful for the good, even if it comes with a bit of bad.

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Sezzini said on 17 November 2010

This is my second baby and my community midwife has been fantastic. However Im currently 36 weeks and experienced bleeding between 20-24 weeks and the care at the hospital, I believe, was absolutely shocking. I would wait for 5 hours at a time on the labour ward to be seen and when I was it was the quickest of quick checks where they eventually decided it was MAYBE a cervical erosion. So I've ended up paying for a private midwife service/scans to give me the piece of mind that I needed.

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lostintranslation88 said on 24 August 2010

I'm 11 weeks pregnant and I'm temporarily living in the UK until November 2010. I won't be able to go back to the U.S. until after my mother undergoes and recovers from surgery. My problem is that the local clinics will not see me under NHS and they won't see me privately, as well. Their reason is because I won't be giving birth here in the U.K. and I'm not a resident/citizen of the country. Well I'm a human being as well and I would like to seen and I would like to know if my baby is healthy, with a heartbeat and developing normally; and I don't mind if I have to pay a fee. And I have offered numerous times to pay for private service. So, why are the clinics still refusing to provide antenatal care to me?? Do I really have to wait until I'm six months pregnant and back in the U.S. do have my first antenatal appointment? The system here does not treat patients with equality!! What am I supposed to do to get some antenatal care?!! I'm totally outraged!

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Susie1990 said on 04 August 2010

Reading all this makes me worried for when i eventually decide to have my own children. However, as i am a student nurse myself and work within the nhs, i know that all healthcare professionals work as hard as they can to provide the best care possible in the time that they have and under the immense pressure they face, but as staffing is a huge problem (trust me) the highest level of care is not always achievable (which is not right but not their fault!) Many prople have bad problems and expiriences but these are the people that spend the time to make others aware of this, not people that have good expiriences, this is another reason why it seems worse than it actually is. I hope everyone has a better expirience in future and has a brilliant birth and healthy babies.

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wade khan said on 22 July 2010

The system sucks, my wife and I experienced the same rubbish service from the NHS, but my advice to everyone is keep calling in for a appointment and if you do not get one walk into the hospital GAU and demand to be seen. This may sound a bit extreme but we thought we may lose our baby and decided we should go into the GAU and demand the care that we pay for through taxes. We were seen quiet quickly upon taking this action. Do not give in, if you cannot get an appointment, try the GAU at your local hospital, we found them very helpful.

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wade khan said on 22 July 2010

The system sucks, my wife and I experienced the same rubbish service from the NHS, but my advice to everyone is keep calling in for a appointment and if you do not get one walk into the hospital GAU and demand to be seen. This may sound a bit extreme but we thought we may lose our baby and decided we should go into the GAU and demand the care that we pay for through taxes. We were seen quiet quickly upon taking this action. Do not give in, if you cannot get an appointment, try the GAU at your local hospital, we found them very helpful.

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oldmum said on 17 June 2010

I am an older mom, now 15 weeks pregnant and classed as high risk due to medical conditions.
I tried to make an appointment to see my midwife when I was 6 weeks pregnant but didnt get to see her till I was 10 weeks as that was the earliest appointment. At that appointment I was told I was too late to book for the hospital of my choice and too late for the early scan whcih detects down syndrome. I still have not had a scan, blood pressure taken or a urinalysis checked. I will not get a scan now until I am 17 weeks which is the first time I will see a consultant. My midwife did not seem at all interested in getting me booked for a scan and seemed reluctant to even take my blood. I feel very let down especially in view of the fact that my GP told me I was going to be closely monitored. I am really not suprised that maternal and infant mortality rates are so high in the west midlands if this is an example of the care women receive.
I know there are some wonderfull midwives out there and they are under immense pressure to deliver services but when the basics arent even done it is just wrong.

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emmarooney1 said on 31 May 2010

I am now 20 weeks pregnant, and have had only 1 appointment with my midwife so far, and my 12 week scan. I have been into my doctors and asked, and told i can only have appointments on Friday mornings, which is not convienient, and it will be with a different midwife.
It is my first pregnancy and I dont know what to expect, luckily my partner already has a little girl, and so can give me some advice, but I am still absolutely disgraced!
I have not been offered to hear my babys hearbeat yet, and am considering spending money I dont really have on trying to get a private service for peace of mind.
I did think it was only me, but from the comments on here, this seems to be about the standard for the NHS!

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ccclllaaarrreee said on 24 May 2010

These comments are all just so familiar, and it's really sad that pregnant women end up feeling so neglected. I am now 18 weeks pregnant, and am unable to contact my midwife, even though at my 2 appointments with her so far she answered to phone a few times! I didn't realise before I became pregnant the lack of care women recieve, although I do feel lucky as I at least have the same midwife for each appointment. Saying this, I do feel very disappointed with my care so far, and would suggest that the NHS aim to provide more sufficient care for pregnant women.

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Angel_Ray said on 13 April 2010

I am 16 weeks pregnant, I saw a midwife who couldnt locate the babys heartbeat. I felt that she couldnt be bothered and asked me to return in two weeks, to her its just her job but I had to go away feeling really panicky. I called them back and asked if they could see me earlier for my own peace of mind but they refused. I experienced awful antenatal care with my last baby too. I didnt see a midwife until my second trimester and that was arranged by myself. I then saw a different midwife each time which I arranged aswell. My GP didnt tell me who to see. The birth of my first baby was really traumatic for me all thanks to a lack of care that I received. I now have a good mind to not attend any appointments as they are really no use to me at all.

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User386660 said on 12 April 2010

This is my second pregnancy and im 9+1, i had my booking in appointment at home at 6 weeks pregnant, i have my 12 week scan date through and have already been seen by my consultant incase i get gestational diabetes again and booked in for my first glucose test. The treatment i get from our nhs is second to none and i see the same midwife and consultant throughout my pregnancy who happen to be the ones who i had in my first pregnancy too.

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kat100 said on 06 April 2010

with my first pregnancy i was only about 7 weeks when i lost it. i had gone to a registered nhs sexual health clinc twice over two weeks to make sure the positive result was correct, which it was. i started having really bad pains like sever period pains, and iv had crippling period pains, these wer worse! my parents and my partner took me to the hospital wer i lay curled up in a ball on my mums knee because of the pain. there was no rush to see me, we waited for an hour and a half. they did a pregnancy test on me which they said was negative, then a "doctor" did an internal examination on me. i was lying on the bed with my legs in the air, bleeding and in serious pain and all she cud say to me was that i wasnt pregnant i was JUST having a period. the insensitivity of it was like a punch in the stomach, she was looking at me like i was wasting her time.
wen i told my GP he was horrified, told me that the baby may have died quite early but took awhile to expelle which is why the test was negative at the hospital. he pointed out that even if i had never been pregnant in the first place i was lead to believe by tests that i was, and someone in that proffesion shud be extremly ashamed for treating a woman in a vunerable state like that. these doctors should remember that its not just a job, its a matter of life or death for the family. it took me and my family a long time to get over that ordeal, i hope no woman has to through wot i went through.
i wish you and your babies health, wealth and happiness!

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becky101 said on 31 March 2010

am only 17 its my first pregnancy my gp said they would contact the hospital for me but i still havent herd any thing i dnt no wen i have a first scan or any thing and am all ready nearly 8 weeks gone what do i do ??

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charburgeen said on 23 March 2010

Im due to see my midwife at 25 weeks, however I have no idea who my midwife is. I saw a mifwife at my booking appointment but I have no contact numbers for her at all. I have tried getting her number but no luck.

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amy lovelace said on 13 March 2010

I am disappointed because I have haven't seen the same midwife twice, each time it is someone different and they cant even the read the writing of the one before. Now I am worried because I have just read that I should be having an Anti-D injection (I am rhesus Neg) but they haven't mentioned anything to me about this and I am 28 weeks now! I recieved a letter last week to say that all of the NHS parentcraft classes were taken so I will not be recieving any (and no tour of the hosiptal either). I think this is probably due to the fact the my first midwife gave me the wrong number then it took me two weeks to get someone to phone with the right number, then when I phoned that they told me they had stopped running the classes, then my midwife told me they were running and I should have applied for them straight away! Why couldn't they have arranged it when I said I really wanted them right at the start? Now I have no confidence in staying at home so will have to go to hospital early. I don't know what to do because they never answer the phone and I don't want to call the emergency number because it's not an emergency. :(

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charburgeen said on 08 March 2010

I am 22 weeks pregnant and have not had much care either. This is my first pregnancy and have found out everything I need to know myself. However my GP told me they have a midwife at the practice im with and am welcome to make appointments with the midwife as often as I like. Mabe try that, hope it helps.

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User432050 said on 16 February 2010

I am very disappointed with the way i have been treated. I am 10 weeks pregnant and i have a 5 year old son already. I had 3 miscarriages before i had my son and was told i would be checked all the time and well looked after during my pregnancy. I went to the doctor 3 weeks ago and was told i was being referred to the hospital straight away and they would see me a.s.a.p. I should expect to get an appointment within 1 week. Well after 3 weeks and numerous phonecalls i have heard nothing from anyone. I have contacted the hospital myself because i have a lot of stomach cramp and was told to go to my GP because it may be a urine infection. I thought that with my history of miscarriages i would have been looked after. Obviously that isnt the case. I am still waiting on my appointment for my 1st scan.

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Cheekygurl24 said on 13 February 2010

I agree also. I'm 24yrs old with my first pregnancy. I will be 24 weeks before I recieve my second scan and I think more frequent care should be supplied in the beginning especially with first time mothers.
I have met with 2 different midwives only twice and not seen my GP since he took 8 weeks to hand me over to the hospital to even get an appointment with the first midwife!
I hope the NHS realise that when you are at such a delicate first time in your life that frequent friendly care should be provided and explained by a midwife not a load of information booklets.

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TataBea said on 12 February 2010

I can't agree more. I am 8 weeks pregnant but only had a 5min appointment with a GP so far. I have tried to contact several times my GP because I was in serious pain but the telephone of the practice has been out of order for... 2 months now!
Some of my friends are pregnant in other European countries and are receiving a much better care.

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jahan said on 08 February 2010

i agree this is my first pregnancy also and i have been let down by my GP and my Midwife iam now 17 weeks pregnant i was supposed to have been referred by my GP to the hospital informing them of my pregnancy in order to have a booking in with the midwife insted i was the one chasing my doctor and the hospital to arrange a refferal. i managed to book in a scan at 13 weeks, i have only been seen by my GP once in november i have not had any check ups from midwife or GP SINCE then. I have called the midwife to arrange a date this week for my first midwife appointment. I diffinatly agree with you as i believe this is a failiur of my care.
Something should be done about this knd of care recieved by us pregnant women we dont deserve this kind of treatment. We have enough to worry about as it is we not need this kind of stress in our life to make things worse. I am worried about my baby not sure if everything is ok.
I am very dissappointed by the lack of care recieved from my antenatal team.

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momtobee said on 01 February 2010

I agree, this is my first pregnancy and I am over 35. I went to my first appt, and the next time she will see me is at 16 weeks. I feel there should be more care and check ups.

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serviceusera said on 22 January 2010

I am on my fourth pregnancy - the third having resulted in a miscarriage at 8 weeks. I had no contact with the midwife during this pregnancy and was disappointed with the care I got from my Dr's surgery. I now find that my Midwife will not see me until I am 15 weeks pregnant. I see this as a failure of my care - in previous pregnancies I was given a scan at 15 weeks. I also thought it was important for women to be seen by a midwife early in their pregnancy. I feel this may be because I live in a nice middle class area!

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